Agreement between the Denver II and Parents’ Evaluation of Developmental Status tests, with and without the assistance of a table of categorical responses
Abstract
Background Among standardized developmental screening tools, the Denver II is commonly used by Indonesian pediatricians, but the Parent’s Evaluation of Developmental Status (PEDS) test has gained in popularity. The Denver II test is filled by physicians, while the PEDS test is meant to be filled by parents. From a practical standpoint, however, parents often require assistance from doctors when filling out the PEDS forms. Hence, the advantage of the PEDS test over the Denver II test is not fully realized.
Objective To compare the agreement between Denver II and PEDS tests, with and without parental use of a table of categorical responses taken from the PEDS manual.
Methods We conducted a cross-sectional study in children aged 6 months to 5 years in Bandung from November 2015 to March 2016. Subjects were divided into two groups using block randomization. One group of subjects’ parents filled the PEDS questionnaires with the assistance of a table of categorical responses taken from the PEDS manual, while the other group of subjects’ parents filled PEDS forms without this table. All subjects underwent Denver II screening by pediatricans. The agreement between the PEDS and Denver II results were assessed by Kappa score.
Results Of 254 children, 239 were analyzed. Kappa scores between the Denver II and PEDS tests were 0.05 (95%CI: -0.10 to 0.20) without the table of categorical responses, and -0.06 (-0.23 to 0.10) with the table of categorical responses.
Conclusion Agreement between the Denver II and PEDS tests is poor. The table of categorical responses does not increase the agreement between Denver II and PEDS.
References
Boyle CA, Boulet S, Schieve LA, Cohen RA, Blumbert SJ, Yeargin-Allsopp M, et al. Trends in the prevalence of developmental disabilities in US children, 1997-2008. Pediatrics. 2011;127:1034-42.
Sices L, Stancin T, Kirchner HL, Bauchner H. PEDS and ASQ developmental screening test may not identify the same children. Pediatrics. 2009;124:e640-7.
Committee on Children With Disabilities. Role of the pediatrician in family-centered early intervention services. Pediatrics. 2001;107:1155-7.
Childer DO, La Rosa AC. Early Intervention. In: Voigt RG, Macias MM, Myers SM, editors. Developmental and behavioral pediatrics. Elk Grove Village: American Academy of Pediatrics; 2011. p. 59-68.
Hix-Small H, Marks K, Squires J, Nickel R. Impact of implementing developmental screening at 12 and 24 months in a pediatric practice. Pediatrics. 2007;120:381-9.
Sand N, Silverstein M, Glascoe FP, Gupta VB, Tonniges TP, O’Connor KG. Pediatricians’ reported practices regarding developmental screening: do guidelines work? Do they help? Pediatrics. 2005;116:174-9.
Kementerian Kesehatan Republik Indonesia. Pedoman Penanganan Kasus Rujukan Kelainan Tumbuh Kembang Balita. Jakarta: Departemen Kesehatan RI; 2010. p. 4-13.
Council on children with disabilities. Identifying infants and young children with developmental disorders in the medical home: an algorithm for developmental surveillance and screening. Pediatrics. 2006;118:405-20.
Drotar D, Stancin T, Dworkin PH, Sices L, Wood S. Selecting developmental surveillance and screening tools. Pediatr Rev. 2008;29:e52-8.
Mackrides PS, Ryherd SJ. Screening for developmental delay. Am Fam Physician. 2011;84:544-9.
Dhamayanti M. Buku panduan pemantauan perkembangan anak dengan metode kuesioner wawancara orang tua. Bandung: Trikarsa Aksi Mandiri; 2014. p. 1-11.
Glascoe FP, Marks KP. Detecting children with developmental behavioral problems: the value of collaborating with parents. Psychological Test Assessment Modeling. 2011;53:258-79.
Frankenburg WK, Dodds J, Archer P, Bresnick B, Macshka P, Edelman N, Shapiro H. Denver II Training Manual. Denver: Denver Developmental Material, Incorporated; 2006. p. 1-13.
Dawson B, Trapp RG. Basic and clinical biostatistics. 4th ed. New York: McGraw-Hill; 2004. p. 118-120
McHugh ML. Interrater reliability: the kappa statistic. Biochem Med. 2012;22:276-82.
Fleiss JL, Levin B, Paik MC. Statistical methods for rates and proportions. 3rd ed. Hoboken: Wiley-Interscience; 2003. p. 598-604
Theeranate K, Chuengchitraks S. Parent’s Evaluation of Developmental Status (PEDS) detect developmental problems compared to Denver II. J Med Assoc Thai. 2005;88:S188-92.
Kusnandar E, Soedjatmiko, Amalia P. Parents evaluation of developmental status and Denver developmental screening test II in high risk infant and toddler. Pediatr Indones. 2010;50:26-30.
Artha NM, Sutomo R, Gamayanti IL. Kesepakatan hasil antara Kuisioner Pra Skrining Perkembangan, Parent’s Evaluation of Developmental Status, dan Tes Denver-II untuk skrining perkembangan anak balita. Sari Pediatri. 2014:266-70.
Viera AJ, Garrett JM. Understanding interobserver agreement: the kappa statistic. Fam Med. 2005;37:360-3.
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Accepted 2016-11-17
Published 2017-01-09
